student nurse - university of web viewas a unit we work closely with other members of the...

Updated Monday, 13th June 2016

WELCOME

PACK

1 | P a g eUpdated By: Amanda Jenkins, Jessica Buckley, Nicoll Braisdell, Adele Nelson


Contents

Overview of the endoscopy unit…………………………………..…………...………..03Key Personnel and useful numbers……………….………………………………...…..04Endoscopy Unit Philosophy…………………………...………………………………..05Shift Patterns, sickness, Housekeeping, Breaks and Dress code…...………….…06Mentoring arrangements and Expectations of student…………………………...…07Examples of pathways of care……………………………………………....…………...08Spoke directory and details……………………………………………………………...09Learning opportunities for students……….…………………………….……………..10Endoscopic procedures and Diagnostic and therapeutic procedure…….………11Resources available to support learning and useful websites………….….………12The placement charter…………………………………………………………………....13Guidance for Raising Concern…………….……………………………………….…..14STUDENT NURSE PLACEMENT (LOCAL EVALUATION)…………….……….……15



Overview of the Endoscopy Unit

The Endoscopy unit is situated on the first floor of the Turnburg building, red area;

we are part of the medical services at Salford Royal Hospital Trust.

The unit is made up of a 13 bedded admissions and recovery areas and 4 clinical

procedure rooms. There are staff toilets, a kitchen and lockers available. The unit is

open 8.00am – 9pm Monday to Friday and 8.30am-5.00pm on Saturdays.

The 4 rooms run in correlation with each other morning, afternoons and evenings

also there may be lists running in X-ray and theatre. A variety of health care

professionals carry out the procedures these include surgeons, medics, and nurse

Endoscopist’s.

On the unit we care for patients with a variety of conditions including:

GI cancers

GI bleed patients

Crohn’s and ulcerative colitis

Alcohol related/Liver disease

As a unit we work closely with other members of the multi-disciplinary team,

including radiology staff and GI specialist nurses, nutrition nurses. Whilst on the unit

students will have the opportunity to work with all other members to enhance their

learning objectives.



Key Personnel

Useful Contacts:

Practice Education Link (PEL) – Amanda Jenkins – 0161 206 5959

[email protected]

Practice Education Facilitator (PEF) – Mike Hollinshead - 0161 206 8223

Link Lecturer – Imelda Jenkins – 0161 295 7294

Ward Manager – Victoria Worthington – 0161 206 5959

Clinical Director- Dr Abby Conlin

Mentors on unit: Sn Zoe Hewitt Sn Kat Gwarek

Sr Kim Parker Sr Sharon Baines Sr Amanda Jenkins

Sn Julie Higgs Sr Carrie Cumbers Sn Suzanne Pilkington

Useful Numbers:

Endoscopy Unit – 0161 206 5959 or 0161 206 5958

Crash Call: 2222

Help Desk: 64500


mailto:[email protected]


Endoscopy Unit Philosophy

On the Endoscopy unit we aim to provide a happy and supportive team. All staff on

the unit are valued as individuals, regardless of band or status.

An important aspect of our role is to provide optimal care to enhance the quality of

life for patients undergoing diagnostic or therapeutic endoscopy procedures.

We recognise the importance of providing care, which is evidence based to enable

us to meet JAG guidelines. It is our desire to create a good learning environment for

student nurses and recognise that we can all learn from each other using every

opportunity to promote learning.

We recognise that all patients are individuals and ensure that all religious and

cultural beliefs are taken into consideration when visiting the unit. We endeavour to

maintain the privacy and dignity of patients and guarantee confidentiality.

The unit strives for excellent communication within the team in order to meet the

holistic needs of the patient.

We try and make patients feel welcomed, and hope to create a pleasant, calm and

friendly environment throughout their journey.



Shift Patterns, sickness, Housekeeping, Breaks and Dress code

On endoscopy the shift patterns are:

08.30 – 16.30 Monday – Friday

08.00 – 18.00 (3days) 08.00 – 17.30(1day)

One Saturday/Sunday 08.30-16.30 or 08.00-17.30

Sickness:

If you are unable to attend placement due to sickness you should contact the unit at

08.00 on 0161-206-5959. You must inform your university the dates of sickness and

absence; the unit will also liaise with the university.

Housekeeping:

Lockers(£1) and a changing room are available for use.

Breaks:

Lunch

12.00pm – 2.00pm (incorporating a 30 minute break)

Uniform:

Student uniform must be worn.

Hair must be tied up and off your collar.

Plain stud earrings and plain wedding band are acceptable.

Full, plain black appropriate shoes

Bare below the elbow

Maintain good hygiene 6 | P a g e

Updated By: Amanda Jenkins, Jessica Buckley, Nicoll Braisdell, Adele Nelson


Mentoring arrangements

You will be allocated a mentor prior to commencing on the unit with whom we will

try to ensure you will work for a minimum of 40% of your placement.

You and your mentor will complete paperwork at the beginning, middle and end

of your placement.

We as a team want to assist you in achieving your learning outcomes, so if you

really want to see or learn anything, then please ask. We have a selection of

learning resources on the unit and all staff are willing to assist with your learning

objectives.

We expect all staff to treat students as individuals and make them feel part of the

team.

Active participation in students learning experiences.

Expectations of students

All documentation to be brought in daily.

Any problems or concerns are brought to the attention of your mentor or ward

manager immediately.

Decide in conjunction with your mentor suitable dates for reviews and

assessments.

Willingness to learn and active participation.

Good time keeping.



Examples of pathways of care


MDT Meeting

Theatre

Specialist Stoma Nurse

Specialist IBD Nurse

Specialist Upper & Lower GI Nurse

MIU (Medical Investigation Unit)

Radiology (ERCP, Virtual colonoscopy, X-

ray)

EAU (Emergency Assessment Unit)

L2 (Gastroenterology Ward)

H8 (Intestinal failure Unit)

ENDOSCOPY


Spoke directory and details

Spoke Contact Number

L2 – (Gastroenterology) 61902

H8 (Intestinal failure Unit) 64521

MIU – (Medical investigation unit) 64884 / 64683

EAU – (emergency assessment unit) 64908

Radiology 65739

Upper specialist nurse 65062

Lower specialist nurse 61249/65303

Stoma specialist nurse 07623937321

Virtual Colonoscopy 61300

Specialist IBD Nurse 64023

Nutrition Nurse 61437/60281



Learning opportunities for students

Gain basic knowledge of A&P of the GI tract - All levels

Admit patients into recovery prior to procedure under supervision-All levels

Follow patient’s journey from admission to discharge-All levels.

Recover and discharge patients post procedure under supervision-All levels.

Gain basic knowledge of procedures-All levels.

Connecting and disconnecting of endoscopes-All levels.

Gain understanding of how and why we decontaminate equipment-All levels.

Assist with rectal banding- Level two, three.

Documentation during procedure-Level two, three.

Manage small lists under supervision-Level three.

Taking biopsies-Level two, three.

Correct labelling of samples-Level two, three.

Maintaining patients airway (Head end)-Level two, three.

Engage in effective communication throughout the patients journey/experience-

All levels.

Communicating effectively with members of the MDT- Level two, three.

Preparation for endoscopy list i.e. drugs, stock, etc- All levels.

ERCP, EUS-Gain greater depth of knowledge- Level three.



Endoscopic Procedures

Gastroscopy

Colonoscopy

Ileoscopy

Enteroscopy

Sigmoidoscopy

Endoscopic ultrasound (EUS)

Endoscopic retrograde cholangio pancreatography (ERCP)

Percutaneous and Endoscopic Gastrostomy (P.E.G)

Diagnostic and therapeutic procedures

Biopsy

Polypectomy

Endoscopic mucosal resection (EMR)

Banding of varicies

Dilatation

Banding of haemharroids

Injection of ulcers

Gastric and colonic clipping

Sphincterotomies

Trawling of bile ducts

Bilary and pancreatic stenting

ESD/EMR

RFA



Resources available to support learning and useful websites

Where to find resources

Files and resources are available in the student area in the kitchen / staff room.

Useful Websites

Salford University website

http://www.salford.ac.uk/nmsw

British Society of Gastroenterology

www. bsg .org.uk

Salford Royal Web site

www.srft.nhs.uk

Royal college of Nursing

http://www.rcn.org.uk/

The Nursing and Midwifery Council

www.nmc-uk.org

Nursing Times

www. nursingtimes


http://www.nursingtimes/

http://www.nmc-uk.org/

http://www.rcn.org.uk/

http://www.srft.nhs.uk/

http://www.bsg.org.uk/

http://www.salford.ac.uk/nmsw


The Placement Charter



Guidance for Raising Concern

STUDENT NURSE PLACEMENT (LOCAL EVALUATION)Dear Student Colleague:In order for us to continually improve the educational opportunities we provide you during your placement we need to know what you thought. Please could you complete the questions below. We would appreciate it if you could be as honest as possible. This will allow us to assess and improve any areas which are not meeting your needs.

Placement Area………………………….. Date of evaluation………………………………1.I was provided with a helpful orientation and basic safety induction on my first day of placement

Yes No

Comment below:

2.I was able to find out who my mentor was in advance, and I met my mentor on my first day on placement

Yes No

Comment below:

3.I was actively encouraged to observe or participate in new activities relevant to my learning outcomes/competencies

Yes No

Comment below:



4.I had opportunities to work with members of the multidisciplinary team (for instances on spoke placements)

Yes No

Comment below:

5.I was actively encouraged to participate in the delivery of care, with an appropriate level of supervision

Yes No

Comment below:

6.At least 40% of my placement time (2 days or 15 hours per week) were spent directly or indirectly supervised by my mentor

Yes No

Comment below:

7.I was given regular formal and informal feedback on my progress

Yes No

Comment below:



8.My initial, mid-point (if appropriate) and final interviews were completed on time

Yes No

Comments below:

9.My practice assessment documentation was fully completed accurately and on time

Yes No

Comments below:

10.My skills and knowledge have increased as a result of my placement learning experiences

Yes No

Comments below:


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